Dedicated Customer Service professional with knowledge of service delivery and proven multitasking abilities. Committed to maintaining professional relationships to increase profitability and drive business results.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Direct Support Professional
Consumer Advocacy Project
Mesa, AZ
09.2021 - Current
Enhanced patient wellbeing by supporting participation in recreational activities.
Tracked and reported clients' progress based on observations and conversations.
Followed care plan and directions to administer medications.
Monitored client's well-being, safety and comfort under physician direction.
Cared for wounds by changing bandages, dressings and binders to promote healing.
Transported clients to doctor's appointments and errands.
Foster Care Case Aide (Temporary)
RY services
Tempe, AZ
10.2020 - 07.2021
Interviewed client, parents, foster parents, school officials and other related parties to fully understand child's individual needs.
Interviewed children and family members to perform intake assessments and identify risks.
Worked with community resources to engage youth in pro-social activities and help families access services.
Attended hearings with victims to provide emotional support.
Assisted victims with filling out and submitting protective orders.
Conducted assessments of foster homes and children under care.
Assisted families in developing problem-solving and coping skills by providing counseling and referring to appropriate community agencies.
Customer Service Support Specialist
Polk County Social Services
East Grand Forks, MN
01.2016 - 10.2020
Tracked and submitted employee time sheets to accounting department for payroll processing.
Examined and entered basic claims for appropriateness of care and completeness of information in accordance with accepted coverage guidelines, ensuring all mandated government and state regulations are consistently met.
Processed claims for multiple plans with automated and manual differences in benefits, as well as utilizing system and written documentation to determine appropriate payment for specific benefits.
Approved pending/denying payment according to accepted coverage guidelines. Maintained internal customer relations by interacting with staff regarding claims issues and research, ensuring accurate claim information, contacting insured or other involved parties for additional/missing information.
Updated information to claim file with regard to claims status, questions or claim payments. Approving, pending, or denying payment according to accepted coverage guidelines
Actual hands-on experience in Insurance medical claims adjudication including managing Data.
Assisted in training of new groups and new staff as needed; assisting management team in problem resolution, planning and overseeing workflows; testing and preparing documentation and updating current documentation, as well as providing suggestions and recommendations to
Improve work flows and departmental efficiencies. Carried out day-day-day duties accurately and efficiently.
Education
Certificate in Medical Assisting & Phlebotomy - Medical Assisting
Arizona College
Mesa, AZ
Associate of Arts And Sciences - General Studies
University of North Dakota
Grand Forks, ND
07.2017
Skills
Decision Making
Problem Identification
De-escalation Techniques
Creative Problem Solving
Multitasking and Prioritization
Understanding Customer Needs
Customer Data Confidentiality
Team-Oriented and Cooperative
Certification
CPR and First Aide Certification
AED
HIPPA
OSHA
Languages
English
Full Professional
Somali
Full Professional
Oromo
Full Professional
Swahili
Full Professional
Amharic
Limited Working
Timeline
Direct Support Professional
Consumer Advocacy Project
09.2021 - Current
Foster Care Case Aide (Temporary)
RY services
10.2020 - 07.2021
Customer Service Support Specialist
Polk County Social Services
01.2016 - 10.2020
Certificate in Medical Assisting & Phlebotomy - Medical Assisting